New X-ray imaging modalities and their integration with intravascular imaging and interventions

During recent years various techniques emerged providing more detailed images and insights in the cardiovascular system. C-Arm computed tomography is currently introduced in cardiac imaging offering the potential of three dimensional imaging of the coronary arteries, the cardiac chambers, venous sys...

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Bibliographic Details
Published in:The International Journal of Cardiovascular Imaging 2010-10, Vol.26 (7), p.797-808
Main Authors: Hetterich, H., Redel, T., Lauritsch, G., Rohkohl, C., Rieber, J.
Format: Article
Language:English
Subjects:
Angioplasty, Balloon, Coronary - methods
Cardiac Imaging
Cardiology
Computer Simulation
Coronary Angiography
Coronary Artery Disease - diagnosis
Coronary Artery Disease - diagnostic imaging
Coronary Artery Disease - physiopathology
Coronary Artery Disease - therapy
Coronary Circulation
Diagnostic Imaging - methods
Diffusion of Innovation
Humans
Imaging
Medicine
Medicine & Public Health
Models, Cardiovascular
Original Paper
Predictive Value of Tests
Radiography, Interventional
Radiology
Tomography, Optical Coherence
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography, Interventional
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Summary:During recent years various techniques emerged providing more detailed images and insights in the cardiovascular system. C-Arm computed tomography is currently introduced in cardiac imaging offering the potential of three dimensional imaging of the coronary arteries, the cardiac chambers, venous system and a variety of anatomic anomalies inside the interventional environment. Furthermore it might enable perfusion imaging during percutaneous coronary intervention (PCI). Intravascular ultrasound (IVUS) and optical coherence tomography (OCT) are meanwhile established tools for detailed assessment of the coronary arteries. Their use might further increase with automated tissue characterization, three dimensional reconstruction, integration in angiography systems, and new emerging techniques. Parameters of fluid tissue interactions are important factors in the pathogenesis of atherosclerosis. These parameters can be calculated using computational fluid dynamics based on three dimensional models of the coronary vessels which can be derived from various sources including mulitslice computed tomography (MSCT), C-Arm CT or 3D reconstructed IVUS or OCT. Their use in the clinical setting has yet to be determined especially with regard to their ability in increasing treatment efficiency and clinical outcome.
ISSN:1569-5794
1573-0743
1875-8312
DOI:10.1007/s10554-009-9529-z